HYDRO24894

• Permit No: C1981039
• IBM Index Class Name: Hydrology
• Doc Date: 2/3/1991
• Doc Name: 4th Qtr 1991 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAYEIADORESB Iln.luJe
G~~nm ]amriLp anon II dlllrrrnu
NAME _ 1~ C.lLS~..A ~' Lr.C ~ S%a LU ~ l.is. +L6 ~~ 57!T ~ - -
ADDRESS df~cNt~~5'L~~CA?1'LStL+Sa41LlZUyj,_ _
'+- _ . Gbl ~ tB`..T mil. d.A li.h ti„'lh ttL - - - -
___J~r~,5Y1L[~r______~1 53547 _
FACILITY _ _ _ _ _ _ _ __ _ _ _ _ _ _ _
LOCATION_______ __ _____
n'LIN: UAYlU J. uRCDCUGALI e5 .
NAi TONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NYDE~SI
DISCHARGE MONITORING REPORT IOMRI
11-10/ 117-1 fl/
CCi;USuU 3 J' 3
PERMIT NUMBER DISCHARGE NUMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAY
FROM y TO
174111 111'131 /14-SJl 116-171 (18-19) (3431)
F - FINAL
FIT q2 CSCH6G TO GRASSY CfiEEH
MIhOfi (SUnH NY) H6UT'I
NOTE: Read Instructions before completing this lorm.
l3 Card Only) QUANTITY OR LOADING 14 CaMOnIyJ pUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE
PARAMETER 146~J31 /J4-6!I (38-4J) (46-J31 (JI-6l/ EX OF TYPE
137-]7/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
(61-63 ANALYSIS
(6I-6.41
169-701
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MEASUREMENT
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rJAMElfITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE P
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ANO AM FAMILIAR WITH 1HE INFORM
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OIJ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION
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IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG ,
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Vice President
NIF ICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 608 754-2291 91 12 31
iME POSSIBILITY OF FINE ANO IMPRISONMENT. SEE IB US.C. 6 1001 ANO
' GNATURE OF PRINCIPAL EXECUTIVE

TYPED OR PRINTED maludr Line u0 ro f1O, 1100
J3 U.S C 6 +J 19. (Pmalria under rhrsr srarme mm
Andor ma+~murn lmpruonmrnr oJberwern6monrhs and lynrs./
OFFICER OR AUTHORIZED AGENT
REA
NUMBER
YEAR
Mo
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COMMENT AND E%PLANATION OF ANY VIOLATIONS /RrJerenee af/ NNachmrne here)
CLL 6 GtiEASe: SEE k'OOi'dG'Scr/, LAGS 3 OF TnE FeFtHIT. FCHMENLY DISCHARGED UNL'EH CO-00351553.
EPA Form 9920'1 (RBV. g-ReJ P/BVIOUS adltlOnS maY NB USad. (REPLACES EPA FORM T~eO WHICH MAY NOT BE USED.1
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